Journal of Korean Academy of Oral Health

The Korean Academy of Preventive Dentistry and Oral Health (대한예방치과·구강보건학회)
권호 표지

A survey on the oral health condition of institutionalized elderly people resident in free asylum

무료양로원 거주 기초생활수급대상 노인의 구강건강상태

Park, Ju-Hee;Kwon, Ho-Keun;Kim, Baek-Il;Choi, CHung-Ho;Choi, Youn-Hee
박주희;권호근;김백일;최충호;최연희

  • Published : 20021200
⟨ Previous Next ⟩

Abstract

The purpose of this study was to understand the oral health condition of institutionalized elderly people resident in free asylum for the old through oral examination(DMFT index, CPITN index, biological denture need, oral hygiene condition and degree of calculus accumulation and the number of remaining teeth), and to evaluate elderly's subjective masticatory dysfunction and communication' social relation dysfunction by questionnaires. The other purpose was to examine the relationship between these dysfunctions and oml health condition. One stage cluster sampling was applied to the subjects of 448 elderly people aged more than 65 in 10 sample clusters from 86 nationwide free asylums for the old. Oral examination and questionnaire survey were performed and the main findings are as follows; 1. DMFT index and DMFS index increased as the elderly were older, while the average number of remaining teeth and functioning teeth declined. 2. The proportion of people wearing upper full denture was 23.5%, lower full denture was 17.8%, upper partial denture was 9.0%, and lower partial denture was 11.4%. The total number of people wearing denture represented 29.5%. However, 54.3% were still in the need of denture. Thirty-one percent of the surveyed needed upper full denture, while 27.2% needed lower full denture. 3. The average of masticatory dysfunction index was significantly different between the groups aged 80 years or older and from 65 to 69(p<0.05). And the figures for the index was significantly high in edentulous group without denture compared to the other groups(p<0.001), communication' social relation dysfunction as well. 4. Multiple linear regression analysis showed that the masticatory dysfunction and communication/social relation dysfunction had statistically Significant correlations with peanut biting capability and the total number of posterior teeth(p<0.05), and peanut biting capacity and DMFT index(p<0.05), respectively.

Keywords

References

  1. 통계청. 연령별 추계인구(1960-2030). 서울:통계청;2000
  2. 한국보건사회연구원. 1998년도 전국 노인생활실태 및 복지사회 욕구조사. 서울:한국보건사회연구원;1998
  3. 정경희. 노인의 경제상황과 정책척 시사점. 보건복지포럼 1999;29(2):17-29
  4. Budtz-Jorgensen E, Chung JP, Rapin CH. Nutrition and oral health. Best Pract Res Clin Gastroenterol 2001;15(6):885-96 https://doi.org/10.1053/bega.2001.0247
  5. Hirano H, Ishiyama N, Watanabe I, Nasu I. Masticatory ability in relation to oral status and general health on aging. J Nutr Health Aging 1999;3(1):48-52
  6. Boretti G, Bickel M, Geering AH. A Review of masticatory ability and efficiency. J Prosthet Dent 1995;74(4):400-403 https://doi.org/10.1016/S0022-3913(05)80381-6
  7. Ekelund R. Dental state and subjective chewing ability of institutionalized elderly people. Community Dent Oral Epidemiol 1989;17(1):24-27 https://doi.org/10.1111/j.1600-0528.1989.tb01820.x
  8. Gilbert GH, Foerster U, Duncan RP. Satisfaction with chewing ability in a diverse sample of dentate adults. J Oral Rehabil 1998;25(1):15-27 https://doi.org/10.1046/j.1365-2842.1998.00207.x
  9. Meeuwissen JH, van Waas MA, Meeuwissen R, K yser AF, van't Hof MA, Kalk W. Satisfaction with reduced dentitions in elderly people. J Oral Rehabil 1995;22(6):397-401 https://doi.org/10.1111/j.1365-2842.1995.tb00791.x
  10. 권호근. 저소득층 노인 틀니 치료 사업을 위한 기초조사 연구. 단독기초연구개발사업 계획서. 서울:연세치대 예방치과학교실;2000
  11. 김종배. 한국노인의 구강건강실태 조사연구. 대한치과의사협회지 1977;15(4): 289-296
  12. 대한구강보건학회 국민구강보건 실태조사단. 국민구강보건 실태조사 조사지침서. 서울:대한구강보건학회;2000
  13. Lang WP, Borgnakke WS, Taylor GW, Woolfolk MW, Ronis DL, Nyquist LV. Evaluation and use of an index of oral health status. J Public Health Dent 1997;57(4):233-242 https://doi.org/10.1111/j.1752-7325.1997.tb02980.x
  14. Leake JL. An index of chewing ability. J Public Health Dent 1990;50(4):262-267 https://doi.org/10.1111/j.1752-7325.1990.tb02133.x
  15. Leao A, Sheiham A. The development of socio-dental measure of dental impacts on daily living, Community Dent Health 1996;13(1):22-26
  16. Ow RK, Loh T, Neo J, Khoo J. Perceived masticatory function among elderly people. J Oral Rehabil 1997;24(2):131-137 https://doi.org/10.1046/j.1365-2842.1997.d01-261.x
  17. Reisine S. An Overview of self-reported outcome assessment in dental research. J Dent Educ 1996;60(6):488-493
  18. Marcenes WS, Sheiham A. Composite indicators of dental health: functioning teeth and the number of sound-equivalent teeth(T-Health). Community Dent Oral Epidemiol 1993;21(6):374-378 https://doi.org/10.1111/j.1600-0528.1993.tb01102.x
  19. Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas 1960;20(1):37-46 https://doi.org/10.1177/001316446002000104
  20. Landis JR, Koch GG. The Measurement of observer agreement for categorical data. Biometrics 1977;33(1):159-174 https://doi.org/10.2307/2529310
  21. Fleiss J. Statistical methods for rats and proportions. New York:Wisley; 1981
  22. K yser AF. Shortened dental arch: a therapeutic concept in reduced dentition and certain high risk groups. Int J Periodontics Restorative Dent 1989;9(6):427
  23. 최재성, 강우진, 정문규. 단치궁 노인의 구강기능 만족도에 관한 연구. 대한치과보철학회지 1992;30(2):191-201
  24. Nasr MF, George WA, Travaglini EA, Scott RH. The relative efficiency of different types of posterior teeth. J Prosthet Dent 1967;18(1):3-11 https://doi.org/10.1016/0022-3913(67)90105-9
  25. 국민구강보건연구소. 국민구강건강조사보고서. 서울:국민구강보건연구소;1995
  26. 정성화, 송근배, 장현중, 송경희. 치과병원 내원 환자들의 만족도 평가를 위한 구조모형. 대한구강보건학회지 2000;24(1):49-58
  27. Allen PF, McMillan AS, Walshaw D, Locker D. A comparison of the validity of generic-and disease-specific measures in the assessment of oral health-related quality of life. Community Dent Oral EpidemioI1999;27(5):344-352 https://doi.org/10.1111/j.1600-0528.1999.tb02031.x
  28. Burke FJ, Wilson NH. Measuring oral health: an historical view and details of a contemporary oral health index(OHX:), Int dent J 1995;45(6):358-370
  29. Gordon SR, Fryer GE, Niessen L, Patient satisfaction with current dental condition related self-concept and dental status. J Prosthet Dent 1988;59(3):323-327 https://doi.org/10.1016/0022-3913(88)90183-7
  30. Lester V, Ashley FP, Gibbons DE. The relationship between socio-dental indices of handicap, felt need for dental treatment and dental state in a group of frail and functionally dependent older adults. Community Dent Oral Epidemiol 1998;26(3):155-159 https://doi.org/10.1111/j.1600-0528.1998.tb01943.x